Provider First Line Business Practice Location Address:
70 N HOTEL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817-5105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-533-6288
Provider Business Practice Location Address Fax Number:
808-533-6288
Provider Enumeration Date:
09/28/2006